Overall and cause-specific mortality in patients with type 1 diabetes mellitus: A population-based cohort study in taiwan from 1998 through 2014
Background: To investigate all-cause and cause-specific mortality in Taiwanese patients with type 1 diabetes. Methods: A cohort of 17,203 patients with type 1 diabetes were identified from Taiwan’s National Health Insurance claims in the period of 1998–2014. Person-years were accumulated for each in...
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| Main Authors: | , , , , |
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| Format: | Article PeerReviewed |
| Language: | English English English |
| Published: |
2021
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| Subjects: | |
| Online Access: | https://repository.unair.ac.id/125227/1/10%20VALIDASI%20KADEP%20PER%20REVIEW.pdf https://repository.unair.ac.id/125227/2/Bukti%20turnitin%2010%20Overall%20and%20Cause-Speci%EF%AC%81c%20Mortality%20in%20Patients%20With.pdf https://repository.unair.ac.id/125227/3/10%20All%20Overall.pdf https://repository.unair.ac.id/125227/ |
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| Institution: | Universitas Airlangga |
| Language: | English English English |
| Summary: | Background: To investigate all-cause and cause-specific mortality in Taiwanese patients with type 1 diabetes. Methods: A cohort of 17,203 patients with type 1 diabetes were identified from Taiwan’s National Health Insurance claims in the period of 1998–2014. Person-years were accumulated for each individual from date of type 1 diabetes registration to date of death or the last day of 2014. Age, sex, and calendar year standardized mortality ratios (SMRs) were calculated with reference to
the general population. Results: In up to 17 years of follow-up, 4,916 patients died from 182,523 person-years. Diabetes (30.15%), cancer (20.48%), circulatory diseases (13.14%), and renal diseases (11.45%) were the leading underlying causes of death. Mortality rate (26.93 per 1,000 person-years) from type 1 diabetes in Taiwan was high, the cause of death with the highest mortality rate was diabetes (8.12 per 1,000 person-years), followed by cancer (5.52 per 1,000 person-years), and circulatory diseases (3.54 per 1,000 person-years). The all-cause SMR was significantly elevated at 4.16 (95% confidence interval, 4.04–4.28), with a greater all-cause SMR noted in females than in males (4.62 vs 3.79). The cause-specific SMR was highly elevated for diabetes (SMR, 16.45), followed by renal disease (SMR, 14.48), chronic hepatitis and liver cirrhosis (SMR, 4.91) and infection (SMR, 4.59). All-cause SMRs were also significantly increased for all ages, with the greatest figure noted for 15–24 years (SMR, 8.46). Conclusions: Type 1 diabetes in both genders and all ages was associated with significantly elevated SMRs for all-cause and mostly for diabetes per se and renal disease |
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